Application to Enroll in EE 199 or CS 199
Instructions:
1) Please complete the information requested below to enroll in an independent study course. You
will need to obtain the faculty signature under whose supervision you will work.
2) Return this form to:
• Lydia Raya - 205 Cory, for EE 199
• Michael-David Sasson - 379 Soda, for CS 199
3) You will then be given the class number for the appropriate course with which to complete your
registration on Cal Central.
Please note:
study course.
Submission of this form is required each semester in order to enroll in an independent
If you are adding this course after the 5th week of instruction, you will also need to fill out an additional
request form. These forms are available in 230 Bechtel (EECS Students) or 206 Evans (LSCS students) or
online at:
http://engineering.berkeley.edu/sites/default/files/docs/changes-after-deadline.pdf
https://ls.berkeley.edu/sites/default/files/advexceptionalschedulechange.pdf
Grading:
EE/CS 199 must be taken P/NP
Student Last Name: _________________________
SID: _____________________________
Circle one:
EE 199
Email: ________________________________________
CS 199
Faculty Last Name: ___________________________
Semester:
First Name: _______________________
Fall ______________
First Name: _______________________
Spring ______________
Summer __________________
Number of units: ________________ ( 1 - 4 units only, 3 hours of work equals 1 unit)
Contact Hours/week: ______ (Number of hours of consultation w/ faculty member per week)
Signature of faculty member _____________________________________ Date: ______________
FOR OFFICE USE ONLY
Class Number: ______________________ Section Number: _____________________
*** When enrolling in Cal Central, please make sure that this class number and section number
matches the name of faculty member you are working with. If there are any discrepancies, please
come see us in 205 Cory or 379 Soda immediately. ***